Facility Evaluation Report

Licensing Program Analysts (LPAs) Marisol Cuadra and Jill Nakagawa arrived unannounced to conduct a Non-Compliance inspection for the following compliance issues:

There were 26 residents at the time of inspection.

LPA's Cuadra and Nakagawa met with the Administrator/Licensee and toured the facility. LPAs found that the Licensee had not yet resolved the above items and facility remains out of compliance. The Licensee is working with TSP to address the issues.

87303(f)(1) Maintenance and Operation: Solid Waste shall...

87303(a) Maintenance and Operation: The facility shall be clean...

87405(a) Administrator Qualifications and Duties

Administrator had been asked to do a deep-cleaning of facility. At the time of inspection, the facility still required a deep-cleaning, linens were not supplied as per regulation, bedrooms had heavy odor of urine, bathrooms were not equipped with paper towels, resident paperwork was incomplete, Administrator not on site (see 809-D).Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.